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一只血糖正常但血清果糖胺水平低的犬的胰岛素瘤

Insulinoma in a normoglycaemic dog with low serum fructosamine.

作者信息

Mellanby R J, Herrtage M E

机构信息

Queen's Veterinary School Hospital, University of Cambridge, Madingley Road, Cambridge CB3 OES.

出版信息

J Small Anim Pract. 2002 Nov;43(11):506-8. doi: 10.1111/j.1748-5827.2002.tb00023.x.

Abstract

An insulinoma was diagnosed in an eight-year-old, male golden retriever. Four fasted serum glucose concentrations were within the reference values over a seven-week period. Two serum fructosamine values over the same seven-week period were both low. An exploratory laparotomy and histopathology of an excised pancreatic nodule confirmed the diagnosis of insulinoma. This report demonstrates that a dog with a histologically confirmed insulinoma can have normal fasting serum glucose concentrations on multiple assays. It also demonstrates that fructosamine assays may be helpful in the diagnostic evaluation of normoglycaemic dogs with clinical signs suggestive of insulinoma.

摘要

一只八岁的雄性金毛猎犬被诊断出患有胰岛素瘤。在七周的时间里,四次空腹血清葡萄糖浓度均在参考值范围内。在同一七周时间内的两次血清果糖胺值均较低。对切除的胰腺结节进行的剖腹探查和组织病理学检查证实了胰岛素瘤的诊断。本报告表明,一只经组织学确诊为胰岛素瘤的犬在多次检测中空腹血清葡萄糖浓度可能正常。它还表明,果糖胺检测可能有助于对有胰岛素瘤临床症状的血糖正常犬进行诊断评估。

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